Individual
ELYSE NISSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3506 GWYNNBROOK AVE, OWINGS MILLS, MD 21117-1409
(410) 843-7498
(410) 664-0115
Mailing address
3506 GWYNNBROOK AVE, OWINGS MILLS, MD 21117-1409
(410) 843-7498
(410) 664-0115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05082
MD
Other
Enumeration date
07/03/2006
Last updated
05/13/2013
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